Provider Demographics
NPI:1881249480
Name:REED, FRANCES REVELS (BCBA)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:REVELS
Last Name:REED
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 PAPPA JOE DR
Mailing Address - Street 2:
Mailing Address - City:BROUSSARD
Mailing Address - State:LA
Mailing Address - Zip Code:70518-4953
Mailing Address - Country:US
Mailing Address - Phone:337-277-0655
Mailing Address - Fax:
Practice Address - Street 1:714 E KALISTE SALOOM RD STE C1
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-2530
Practice Address - Country:US
Practice Address - Phone:318-664-9801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-09
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2908103K00000X
TX1-19-36779103K00000X
LAL-719103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst